Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.76 / $1,222.54 / $4,497.29	Professional		$715.76	$1,222.54	$4,497.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.98 / $2,116.23 / $2,266.79	Professional		$1,692.98	$2,116.23	$2,266.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $754.88 / $1,184.16 / $3,088.64	Professional		$754.88	$1,184.16	$3,088.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,030.42 / $2,174.73 / $7,305.00	Facility		$1,030.42	$2,174.73	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $999.65 / $1,963.88 / $4,378.35	Professional		$999.65	$1,963.88	$4,378.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,244.09 / $1,932.42 / $2,407.73	Facility		$1,244.09	$1,932.42	$2,407.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,244.09 / $1,868.59 / $2,536.17	Professional		$1,244.09	$1,868.59	$2,536.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $815.58 / $1,320.44 / $1,625.94	Professional		$815.58	$1,320.44	$1,625.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $937.18 / $1,887.57 / $2,585.04	Professional		$937.18	$1,887.57	$2,585.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,275.60 / $1,614.70 / $1,899.70	Professional		$1,275.60	$1,614.70	$1,899.70